Health inspection·December 10, 2024

F 0602 Protect each resident from the wrongful use of the resident's belongings or money. Level of Harm - Minimal harm or potential for actual harm Based on record review, Self-Reported Incident (SRI) review, police report review, policy review, and interview, the facility failed to prevent the exploitation of Resident #33 by an employee. This affected one (Resident #33) of three residents reviewed for abuse. Residents Affected - Few Findings include: Review of the medical record for Resident #33 revealed an admission date of 07/31/24. Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting the non-dominant left side, dysphagia (difficulty swallowing), personality disorder, and mild cognitive impairment. Review of the quarterly Minimum Data Set (MDS) assessment, dated 11/05/24, revealed Resident #33 had intact cognition and was independent for bed mobility, transfers, and eating. Review of the plan of care dated 11/22/24 revealed Resident #33 had problematic behavior characterized by inappropriate sexual behavior including making inappropriate remarks and attempting to touch other residents and staff. Review of SRI #254363 with a creation date of 11/22/24 revealed on 11/21/24 at around 12:00 P.M. there was an incident between Resident #33 and Kitchen Aide (KA) #206. KA #206 alleged that Resident #33 rode his wheelchair into the staff and started to grope her. Upon further investigation Resident #33 had KA #206's number on his phone and naked pictures of her. Upon interviewing Resident at 11:45 A.M. on 11/22/24, he said that he had given KA #206 $175 and KA #206 had made it clear that if he would give her $300 she would have sex with him. Resident #33 made it clear that there was no physical contact of any kind, and the money was sent to her by his brother and a friend. The allegation of sexual abuse, misappropriation was substantiated. Review of the facility's investigation initiated on 11/21/24 revealed KA #206 and Resident #33 exchanged personal text messages. The messages dated 10/19/24 through 10/26/24 revealed KA #206 and Resident #33 sending flirtatious texts to each other. KA #206 asked for money via cash app a couple of times. According to the text, Resident #33 sent KA #206 40.00 dollars. KA #206 replied I thought you were sending 100.00 dollars? KA #206 sent Resident #33 a naked picture of her genital area and stated that more pictures would come later. Further review of the investigation revealed Resident #33 involved his brother asking him to transfer money to KA #206. Review of the police report dated 11/22/24 revealed the caller requested to speak with an officer about a possible elder abuse from an employee. The employee was identified as KA #206 and the victim was identified as Resident #33. It was noted the employee was not on the scene. The report indicated Resident #33 had a stroke and was very difficult to understand. Resident #33 stated that KA #206 Page 1 of 2 365705 365705 12/10/2024 Aventura at Walton Hills 19859 Alexander Rd Walton Hills, OH 44146

F 0602 Level of Harm - Minimal harm or potential for actual harm told him that for $300 KA #206 would give him sex. Resident #33 stated that he intended on having sex with KA #206 for money. Resident #33 gave KA #206 $100. Resident #33 stated that KA #206 sent him nude pictures of herself to his phone. Resident #33 said, KA #206 told him that she needed a real man and gave his money back. Resident #33 refused to make a written statement at that time. The offense listed on the police report indicated soliciting another for sexual activity for hire. Residents Affected - Few Review of the Police Department Voluntary Statement dated 11/24/24 and written by the Director of Nursing (DON) revealed KA #206 came to her office and said that Resident #33 assaulted her with the wheelchair and was feeling on her. She was asked to calm down and write a statement. After KA #206 left the office Resident #33 was riding by the office and the DON called him into the office. Resident #33 stated he had KA #206's number in his phone. When asked how and why he had her phone number in his phone he told her they were in a relationship. When asked what he meant he said they were in a romantic relationship. He opened his phone and showed the DON where KA #206 sent nude photos of her body and asking and accepting money. The statement also indicated that on 11/22/24 Resident #33 told the Administrator that KA #206 told him that if he paid her $300 he could have sex with her. Interview on 12/04/24 at 10:37 A.M. with Resident #33 revealed he and KA #206 exchanged phone numbers and started talking because KA #206 wanted to find a real man. Resident #33 stated KA #206 asked him for money to have sex with him. KA #206 sent him a naked picture and wanted him to take care of her. They never had sex but were planning on having sex after he moved to an assisted living facility. Resident #33 stated the police took the pictures and texts from his phone. Interview on 12/04/24 at 1:10 P.M. with the DON revealed they had no idea KA #206 and Resident #33 were exchanging test messages until KA#206 reported Resident #33 ran into her with his wheelchair. When the DON talked to Resident #33 about the incident, Resident #33 indicated he and KA #206 were in a relationship. When asked why he felt they were in a relationship, Resident #33 indicated he had KA #206's phone number and KA #206 sent him naked pictures of herself. The DON indicated upon receipt of this information an SRI was submitted to the State agency, an investigation initiated and the police were contacted. The DON stated they wanted to terminate KA #206 immediately; however, the police wanted them to wait until they spoke with KA #206 at the facility on 11/25/24 when a meeting was scheduled to discuss disciplinary action. KA#206 did not show up for the 11/25/24 meeting. Interview on 12/04/24 at 1:26 P.M. with KA #206 revealed she was fired for the incident; it was in her past and she would not discuss the matter any further. Review of facility policy titled Abuse, dated 2023, revealed the facility would not take advantage of a resident for personal gain using manipulation, intimidation, threats, or coercion. This deficiency represents non-compliance investigated under Control Number OH00160143. 365705 Page 2 of 2